Provider Demographics
NPI:1487864401
Name:HAMLIN, EDWIN CRAIG (PHD)
Entity type:Individual
Prefix:
First Name:EDWIN
Middle Name:CRAIG
Last Name:HAMLIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 BENJI LN
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-4889
Mailing Address - Country:US
Mailing Address - Phone:805-937-7949
Mailing Address - Fax:
Practice Address - Street 1:2320 THOMPSON WAY
Practice Address - Street 2:SUTIE D
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-1067
Practice Address - Country:US
Practice Address - Phone:805-739-1512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)